2013最新临床抢救顺序（2013 latest clinical rescue order）.docVIP

2013最新临床抢救顺序（2013 latest clinical rescue order） Clinical rescue order First, the rescue program of anaphylactic shock Anaphylactic shock, 0.1% hydrochloric acid, 0.5-1.0 ml of intravenous injection, followed by 1 ml intramuscular injection or subcutaneous injection, and repeated antihistamine if necessary Drugs: such as promethazine 25~50 mg intramuscular injection to ensure airway patency, necessary tracheotomy, oxygen inhalation 200~400 mg hydrocortisone add 100 ml glucose solution in the infusion of vasoactive drugs selected as appropriate. Diagnostic points and rescue measures of anaphylactic shock Diagnose: 1, have allergic contact history; 2, chest tightness, throat blockage and then dyspnea, cyanosis, feeling of impending death, serious person can cough pink frothy sputum; 3, often have severe intestinal colic, nausea, vomiting, or diarrhea; 4, disturbance of consciousness, numbness of limbs, convulsions, aphasia, incontinence, pulse and blood pressure Rescue: 1. Apply epinephrine immediately; 2 、 rapid intravenous injection of adrenal cortex hormone; 3, expansion; 4, oxygen or hyperbaric oxygen; 5, give calcium and anti histamine drugs; 6, timely treatment of laryngeal edema, pulmonary edema, edema and so on; Measures: 1, 0.1% epinephrine, 0.5~1.0 ml, intramuscular injection or intravenous injection; 2, norepinephrine 1~4 mg soluble in 500 ml solution, static drops; 3, dexamethasone 10~20 mg plus 5% glucose, 100 ml (intravenous drip); 4, 10% calcium gluconate 20 ml intravenous injection; 5, 0.25 gram of sugar 50% aminophylline 40 ml intravenous injection; 6, balance crystal water: 500~1000 ml static drops. Two, pulmonary edema diagnosis and rescue measures Diagnosis; 1, severe dyspnea, orthopnea, cyanosis, sweating; 2, paroxysmal cough accompanied by white or pink foam like sputum; 3, the lungs can smell and moist rales and snoring sound or a large number of sputum sound; Rescue: 1, oxygen or hyperbaric oxygen; 2, use vasodilator; 3, use strong heart, diuret